Medicaid Nursing Home Rates by State

← All states

Montana

Medicaid nursing facility payment · Statewide price · researched October 2026

Montana’s Medicaid agency and its state plan are the official source for these rules. This page summarizes them as researched in October 2026; check the state’s own documents, listed under Sources, before relying on them.

At a glance

Rate method

Statewide price

Case-mix level

None

Classification

None

Rate updates

Once a year

Managed care (LTC)

No

Quality program

Five-Star quality component

Paid outside the rate

Small

Bed hold

Hospital and leave

Published rates

Rates only

Assisted living

Covered

Personal needs allowance

$50 / month

Overview

• Montana pays every nursing home the same statewide flat rate, plus a small quality add-on based on the home's CMS Five-Star staffing and quality-measure ratings, minus the resident's patient contribution (ARM 37.40.307(2), in place since 7/1/2020).
• The flat rate is set each year 'through a public process'.
• Its current level comes from the 2022 Guidehouse cost study, which built one statewide 'class rate' from 2021 cost reports.
• The SFY2027 flat rate is $287.11, frozen at the SFY2026 level.
• Posted rates for the 59 homes run $287.11-$295.74, and the statewide average daily rate is $291.26.
• Montana does not adjust for case mix (acuity).
• High-need residents instead get prior-authorized per-resident add-ons ($75/$150/$225 a day complex-care levels, plus ventilator/trach increments).

What matters in Montana

• Every home gets the same $287.11 flat rate; posted rates differ only by a $0-$8.63 quality tier.
• No case mix (acuity adjustment): high-need residents earn prior-authorized add-ons of $75, $150 or $225 a day outside the posted rate.
• The SFY2027 rate is frozen at $287.11 after the state withheld authorized increases for projected budget shortfalls.
• About 4-5% of base is paid outside the rate, mainly county-funded UPL (federal ceiling) lump sums to county-owned homes.
• Homes collect the full $217.00 Medicare coinsurance on days 21-100, because the Medicaid rate is higher.
• Hospital bed hold is paid only when the home is 100% full, has a waiting list and gets state approval.

Frequently asked

How does Montana pay more for a high-acuity resident without a case-mix system?

Through prior-authorized per-resident add-ons of $75, $150 or $225 a day, paid outside the posted rate.

When does Montana Medicaid pay for a hospital bed hold?

Only when the home is 100% full, has a waiting list and receives state approval. Therapeutic leave is paid up to 24 days a year.

How often does Montana set a nursing home's quality add-on?

Annually on July 1, when the flat rate and each home's quality tier are reset together. The add-on is $8.63, $6.47 or $4.32 per day by staffing and quality measure stars.

How much is paid outside the posted rate in Montana?

Small, about 4-5% of base, mostly roughly $8M a year of county IGT-funded UPL lump sums.

What does Montana Medicaid pay on Medicare coinsurance days?

Medicaid pays the lower of its rate or the coinsurance, so homes normally collect the full $217.00 coinsurance.

Does Montana require a minimum share of spending on care?

No; only the direct care wage lump sums must be spent on direct care worker wages and benefits.

How is the Montana nursing home provider tax charged?

$15.30 per bed day on all payers, with no high-Medicaid discount; $12.50 is earmarked to fund the Medicaid price.

How the rate is set

How the method got here

Verified October 11, 2026

Cost basis

Uses cost reports

Yes

Cost report

Medicare CMS-2540 cost reports plus a separate Montana Medicaid nursing facility cost report (instructions posted on the NF provider page). The 2022 Guidehouse study also used a provider cost and wage survey.

Base year and rebasing

No formula rebasing cycle. The flat rate 'will be determined each year through a public process'; cost of care and access 'could be considered' (ARM 37.40.307(2)(a)). The last cost-based reset was the Guidehouse rate study (Sept 2022). It used FY2021 CMS-2540 and SFY2021 Montana Medicaid cost reports, trended 14.8%-19.5% to 1/1/2024, giving a $278.75 benchmark that was phased in: SFY2024 flat $257.54, SFY2025 $278.75. Guidehouse called Montana's previous rate development (2001) the last one before that. Since then the rate has moved only by legislative appropriation: +3.0% to $287.11 for SFY2026, frozen for SFY2027.

Components

Component	Method	Notes
flat-rate component	One statewide per diem for every in-state home: $287.11 for SFY2026 and SFY2027 ($278.75 SFY2025, $257.54 SFY2024). The 2022 Guidehouse benchmark summed day-weighted direct, indirect and capital costs. It applied a 60% minimum occupancy standard and capped indirect costs at the 95th percentile, then took the day-weighted average of the trended facility rates.	There are no separate component lines, so the posted rate shows only flat + quality. New homes without a 6-month cost report get the flat rate; after a change of ownership the new owner keeps the prior owner's rate.
quality component	A per-Medicaid-day add-on scaled by the home's average CMS Five-Star staffing and QM ratings (see quality_incentive). SFY2027 amounts: $8.63 (5-star average), $6.47 (4), $4.32 (3), $0 (1-2).	Budget neutral within a fixed pot, which is divided by estimated Medicaid days.
complex care / ventilator add-ons	Per-resident, prior-authorized per diem add-ons, billed separately (ARM 37.40.330(2)). See other_add_ons.	Not in the posted rate.

Inflation

None by formula. Guidehouse's one-time trend used CES nursing-care-facility wages for direct costs and the PPI for nursing care facilities (Medicaid patients) for indirect/capital. Later changes are legislative across-the-board provider increases: +3.0% for SFY2026 (2025 HB 2), 0% for SFY2027.

Verified October 11, 2026

Case mix

System

None

Applied at

None

How it works

Every Medicaid resident in a home is paid the same flat + quality rate regardless of MDS acuity. The only acuity-linked money is prior-authorized per-resident add-ons for behavior, bariatric, wound, TBI, ventilator and trach care (ARM 37.40.330(2); DPHHS Add-On Application).

Classification

None for the base rate since 7/1/2020. Before that, Montana used a price-based rate: 80% operating component plus a 20% direct resident care component adjusted by the facility-average Medicaid case-mix index (RUG). The NF and Swing Bed Manual still describes that old method. The ventilator increment formula in ARM 37.40.330(2)(c) still refers to a resident CMI vs. facility average CMI (ARM 37.40.320).

Applies to

Nothing in the base rate; only the ventilator per-resident increment references a CMI.

Acuity measured from

n/a

Updated

n/a

Move to PDPM

None needed. Montana dropped MDS case mix from the base rate on 7/1/2020, before CMS ended OBRA RUG support in Oct 2023, and moved to a flat rate.

Verified October 11, 2026

Low-acuity residents

None. Montana has no case mix, so there is no low-acuity group to carve out: every Medicaid resident is paid the home's single flat + quality rate. Residents who don't meet nursing-facility level of care are screened out before admission (preadmission screening/LOC by Mountain Pacific), not paid a reduced rate. Checked: ARM 37.40.307, 37.40.330, the NF and Swing Bed Manual, and the SFY2024-SFY2027 rate files.

Verified October 11, 2026

Capital

Included in the flat rate. There is no separate capital/FRV component. Guidehouse's benchmark included capital cost per day, spread over at least 60% occupancy, and trended at PPI.

Verified October 11, 2026

Budget adjustment factor

No formula factor, because the rate is an appropriation-driven flat amount. (1) SFY2027: DPHHS implemented no legislatively authorized provider rate adjustments, citing projected budget shortfalls and the 17-7-301 MCA mitigation plan (May 29, 2026 notice). The flat rate stayed at $287.11. (2) The quality component is rescaled each year to stay budget neutral. (3) Before the 2023 study, the rate grew only by small appropriations (e.g., +1.84% to a $208.04 average in Oct 2019, funded from the bed-fee account).

Verified October 11, 2026

Add-ons and money outside the rate

Paid outside the posted rate

Level

small

Estimate

About 4-5% of base, derived: county IGT/UPL lump sums of roughly $8M/yr total (LFD: $6.05M county IGT state special revenue over the 2027 biennium, grossed up for federal match) against about $185.7M base NF spending (SFY2027 SPA fiscal impact). Direct-care wage lump sums (ARM 37.40.361) would add to this if funded; amount not found.

Components

County IGT-funded UPL lump sums to county-owned homes, plus a parallel lump sum to non-participating homes (ARM 37.40.311): about $8M/yr total (derived). Direct care/ancillary worker wage lump sums (ARM 37.40.361): size unknown. Quality component and complex-care add-ons are paid per day and not counted here.

Source

https://leg.mt.gov/content/Publications/fiscal/2027-Biennium/…

Verified October 11, 2026

Payments by owner type

Applies

yes

Detail

Nonstate government (county) owned or operated homes, described as 'at risk', mostly rural, sole or major providers in their county, can get an annual UPL lump sum funded by their county's IGT, up to the Medicare upper payment limit for that class. Private homes don't get that payment but receive a separate lump sum under 37.40.311(3) from the same exercise, so the gap is narrower than in IN/PA. Number of participating county homes and the per-day split were not found.

Funding

Voluntary written agreements in which the county transfers local funds as the state match. The rule bars any prearranged return of the payment to the county, though normal operating payments to the county (rent, bonds, insurance, taxes) are allowed. No lease/management workaround for private operators described.

Source

https://www.law.cornell.edu/regulations/montana/Mont-Admin-r-…

Verified October 11, 2026

Quality program

Program

Quality component of the NF rate (ARM 37.40.307(2)(b)), in effect since 7/1/2020.

Funding

A fixed share of the nursing facility appropriation, budget neutral: per-day amounts are rescaled each year so the pot is fully spent (June 2026 notice: 'quality component rates per bed day were adjusted to ensure the program remains budget neutral'). Not a provider tax or directed payment.

Size

About $2.6M/yr, derived: the statewide average daily rate ($291.26) minus the flat rate ($287.11) = $4.15/day, times about 637,000 Medicaid days (SFY2027 fiscal impact $185.66M / $291.26). Full (5-star) per-day amount by year: SFY2024 $7.47, SFY2025 $10.12, SFY2026 about $10.40 (implied; no home at 5-star), SFY2027 $8.63.

Paid as

Per-diem add-on built into each home's posted rate.

Measures

Measure	Source	Weight	How points are earned
CMS Five-Star staffing rating	CMS Care Compare (PBJ-based)	50% of the average	Averaged with the QM rating; see payment_formula
CMS Five-Star quality measure (QM) rating	CMS Care Compare (MDS/claims-based)	50% of the average	Averaged with the staffing rating; see payment_formula

Scoring period

Each home's 'current assigned rating' under CMS Five-Star at the time July 1 rates are set (SFY2027 SPA notice). CMS ratings themselves lag PBJ/MDS data by 1-2 quarters.

Payment formula

The pot is divided by total estimated Medicaid bed days to get the per-day quality amount. A home with an average (staffing + QM) of 5 stars gets 100%, 4 stars 75%, 3 stars 50%, and 1-2 stars 0%. Unused funds from the first round are reallocated in proportion to each home's share of the unused allocation. SFY2027 posted add-ons: $8.63 / $6.47 / $4.32 / $0.

Eligibility

All Montana Medicaid NFs with a Five-Star rating. Homes averaging 1-2 stars get nothing. No SFF/IJ exclusion is stated in the rule.

Cadence

Annual, July 1 (the rate is reset each SFY).

Scores published

Yes, indirectly: the quality tier can be read from each home's posted rate (flat rate + tier amount) in the annual NF rate PDF at https://medicaidprovider.mt.gov/26. No separate scorecard was found.

Notes

Distribution of homes by tier in SFY2027 (59 homes): 15 at $0, 18 at 50%, 19 at 75%, 7 at 100%. In SFY2026 no home was at 100% (17/19/21 across $0/50%/75%). Guidehouse (2022) recommended a broader P4P program with attainment and improvement scoring; it has not been adopted.

Verified October 11, 2026

Provider tax

Charged

per bed day (all payers, including bed-hold days, day of admission and day of death)

Standard amount

$15.30 per bed day since 7/1/2018 ($2.80 general fund + $5.50 + $7.00 to the NF utilization fee state special revenue account). Before that: $8.30, then $11.30 in FY2018.

Lower for high-Medicaid homes

no

Returned in the rate

Not as a separate add-on. The $12.50 special-revenue portion must be used to maintain and raise the average Medicaid NF price above the FY2017 level (15-60-211), so it funds part of the state share of the flat rate. In FY2018-19 it also funded a $0.50/hr CNA wage increase.

Source

https://leg.mt.gov/bills/mca/title_0150/chapter_0600/part_001…

Verified October 11, 2026

Provider tax notes

Nursing facility utilization fee (15-60-102 MCA): $15.30 per bed day on all bed days, all payers, including bed-hold days. It is made up of $2.80 to the general fund, $5.50 to maintain the FY2017 average price, and $7.00 (since 7/1/2018) to raise the average price above FY2017. The fee may not be put on a patient's bill. Paid quarterly to the Department of Revenue. The $12.50 special-revenue portion is earmarked to fund the Medicaid NF price (15-60-211). LFD shows $25.6-26.0M of utilization fee revenue in the SLTC 2027-biennium budget.

Verified October 11, 2026

Supplemental payments

(1) County IGT / UPL lump sums (ARM 37.40.311): once a year, nonstate government (county) owned or operated homes, mostly rural sole-community homes, get a lump sum up to the Medicare upper payment limit. The county transfers the state match under a written agreement, and the money is distributed by each home's Medicaid days for the prior SFY. Non-participating (private) homes get a separate lump sum under 37.40.311(3), also by Medicaid days. LFD shows Medicaid IGT state special revenue of $6.05M for the 2027 biennium in SLTC (about $3.0M/yr county share, roughly $8M/yr total with federal match, derived). (2) Direct care and ancillary worker wage lump sums (ARM 37.40.361): paid twice a year as a pro rata share of any appropriation earmarked for direct-care wages/benefits, to homes that file an approved spending plan. Whether any such appropriation is funded in SFY2026-27 was not confirmed. No MCO directed payments (there are no MCOs).

Verified October 11, 2026

Other add-ons

(1) Complex care add-ons (since 1/1/2024; ARM 37.40.330(2)): prior-authorized by Mountain Pacific Quality Health and billed per resident per day. Level I $75.00 (low-level behaviors 1-4 times/week). Level II $150.00 (behaviors more than 4 times/week; bariatric 350-650 lb; stage 3 wound). Level III $225.00 (severe behaviors; bariatric over 650 lb; stage 4 wound or wound VAC). Wound care is authorized for 90 days, other levels for 180 days. Hospice enrollees and elopement-only risk are not eligible for Levels II-III. These replaced the older diagnosis add-ons: bariatric $2.05/$5.49, TBI $75, behavior $75/$80/$100. (2) Ventilator- or trach-dependent residents: a per diem nursing services increment, prior-authorized monthly with 5-day nursing time records (ARM 37.40.330(2)(a)-(c)). (3) Separately billable ancillary supplies at invoice cost with no markup (ostomy, catheters, oxygen contents, enteral/parenteral nutrition, oxygen concentrators at invoice / useful life, routine supplies in extraordinary amounts).

Verified October 11, 2026

Units paid separately

(1) No dedicated ventilator units exist in Montana (Guidehouse 2022). Ventilator residents in regular NFs get the prior-authorized increment; others go out of state. (2) Out-of-state NFs are paid the host state's Medicaid rate, prior-authorized (ARM 37.40.337). (3) Swing-bed hospitals (fewer than 49 beds, CON required) are paid one statewide per diem equal to the average Medicaid NF per diem for the previous calendar year (ARM 37.40.406). They must transfer the resident to a NF within 25 miles within 72 hours of a bed opening, and get no bed-hold payments. (4) ICF/IID: retrospective cost-based (ARM 37.40.336), not the NF method. (5) The state-run Montana Mental Health Nursing Care Center pays the utilization fee, with its fee proceeds split 30% general fund / 70% prevention and stabilization account. State veterans homes (Columbia Falls, Glendive, Butte) appear on the regular flat + quality rate list.

Verified October 11, 2026

Payment rules

Managed care for long-term care

Status

no

Detail

No Medicaid managed care for nursing facility care. Montana runs fee-for-service with primary-care case management (Passport, now Primary Care Montana), and the NF manual says NF residents are not enrolled in Passport/Team Care.

Verified October 11, 2026

Who pays

fee_for_service (Montana Medicaid has no capitated managed care plans; nursing facility claims are paid directly by DPHHS)

Verified October 11, 2026

Managed care rate floor

Not applicable: there are no Medicaid MCOs in Montana, and DPHHS pays NF claims fee-for-service at the posted rate (NF and Swing Bed Manual).

Verified October 11, 2026

Included in the daily rate

Included: room and board, all general nursing (including administering oxygen and medication), personal hygiene items, routine supplies, maintenance therapy, routine DME, nurse aide training/testing costs, and nonemergency transport within 20 miles. Paid separately: prescription drugs, flu shots and IV solutions (billed by the pharmacy); restorative PT/OT/SLP (billed by a licensed therapist under the Therapy manual); ancillary supplies on the NF fee schedule at acquisition cost (ostomy, urinary, trach, oxygen contents, PEN, prior-authorized oxygen concentrators); some DME by DME suppliers; physician and hospital services. Not paid separately: ancillaries during Medicare Part A stays. Source: NF and Swing Bed Manual; ARM 37.40.330.

Verified October 11, 2026

Bed hold

Hospital stays

Paid only in narrow cases: the home must be full (all Medicaid-certified beds occupied or held) with a current waiting list for each day claimed. The stay must be temporary and holding the bed cheaper than extending the hospital stay, with written DPHHS SLTC approval (form within 90 days). No day cap is stated. Paid at the facility per diem (the manual's billing example uses the full rate).

Leave days

Paid up to 24 days per resident per SFY. Visits must be in the plan of care and last 72 hours or less per absence, unless prior-authorized longer; a form is due within 90 days. Paid at the facility per diem.

Occupancy rule

Hospital hold only: facility must be 100% full (counting held beds) with a waiting list. Therapeutic leave has no occupancy test.

Notes

When hospital-hold conditions are met the home must hold the bed and may not fill it; when they are not met it must still hold the bed but cannot bill Medicaid or the resident. No bed hold for swing beds. Bed-hold days count toward the utilization fee.

Source

https://www.law.cornell.edu/regulations/montana/Mont-Admin-r-…

Verified October 11, 2026

Personal needs allowance

Per month

50

Effective

In force per DPHHS Nursing Facility and Swing Bed Manual (updated 04/25/2017); start date not stated

Notes

DPHHS Nursing Facility and Swing Bed Manual, Personal Resources (ARM 37.40.302): monthly PNA $50 for residents with Social Security or retirement income, $30 for SSI-only residents, $90 for residents with a VA reduced pension. Not COLA-indexed.

Confidence

confirmed

Source

https://medicaidprovider.mt.gov/manuals/nursingfacilitymanual

Verified October 11, 2026

Medicare coinsurance days

Method

coinsurance_up_to_rate

Rule

For dual eligibles on Medicare SNF coinsurance days (21-100), Medicaid pays the lower of the home's Medicaid per diem or the Medicare coinsurance rate, minus the resident's patient contribution (ARM 37.40.307(6)(a)). It does not pay Medicaid rate minus Medicare's payment. QMB-only residents get the Medicare coinsurance rate under the QMB program (37.40.307(6)(b)). Medicare Advantage cost-sharing: no Montana rule found.

Effect

Montana's per diem (about $287-$296) is above the Medicare daily coinsurance ($217.00 in 2026), so homes normally collect the full coinsurance for days 21-100, less patient contribution.

Source

https://www.law.cornell.edu/regulations/montana/Mont-Admin-r-…

Verified October 11, 2026

Required care spending

Applies

no

Rule

No requirement to spend a share of the per diem on care. Narrow related rule: direct care wage lump sums under ARM 37.40.361 may be used only for wage/benefit increases or bonuses to direct care and ancillary workers. Homes must file a spending plan and wage reports and keep records, and a home that doesn't file forfeits its share. This earmarks the add-on money only, not the base rate.

Source

https://www.law.cornell.edu/regulations/montana/Mont-Admin-r-…

Verified October 11, 2026

Occupancy rules

Applies

no

Rule

No facility-level occupancy penalty in the flat rate. Guidehouse built the statewide benchmark with a 60% minimum occupancy standard (statewide average about 50% then), a one-time rate-setting assumption that lowers the flat rate for all homes equally. Hospital bed-hold pay requires 100% occupancy plus a waiting list (see bed_hold).

Source

https://dphhs.mt.gov/assets/ProviderRateStudy/Reports/FinalMT…

Verified October 11, 2026

MDS accuracy penalties

None. With no case mix in the base rate, there is no MDS-based rate cut or recoupment. Related withholds: homes that miss the quarterly nurse aide training cost survey lose 10%, then 20%, then 100% of payments until it is filed. DPHHS may withhold all Medicaid payments until the monthly staffing report (due the 10th) is filed. Add-on payments can be recouped if documentation (e.g., the oxygen certificate of medical necessity) is missing.

Verified October 11, 2026

Published rates and changes

How often rates change

A home's rate changes

annual

When

July 1 (SFY). The flat rate and each home's quality tier (from its current Five-Star rating) are reset together. There is no mid-year case-mix update. Per-resident complex-care add-ons start and stop with each prior authorization (90 or 180 days).

Verified October 11, 2026

When rates change

July 1 state fiscal year. DPHHS posts proposed fee schedules in June and amends ARM 37.40.307 by MAR notice afterward (often effective retroactively to 7/1). The complex-care add-on restructure took effect mid-year on 1/1/2024.

Verified October 11, 2026

Posted rates

Home-level rates published

Yes

Where

https://medicaidprovider.mt.gov/26 (Nursing Facility provider type page, 'Fee Schedules': 'Medicaid Reimbursement Rate Effective 07/01/2026', etc.)

Format

pdf (two-page list: facility name, city, Medicaid rate; footer shows the flat rate and the statewide average daily rate). Text-extractable, but the rate column is shifted one row from the names in the extracted text.

Cadence

Annual (July 1).

History

The NF page links SFY2024 (7/1/2023) through SFY2027 (7/1/2026). Older years are probably in the provider-site archive (not checked).

Home identifier

Facility name and city only. No NPI, CCN or Medicaid provider number.

Verified October 11, 2026

Rate build-ups

Published

No

Where

None. The rate is flat + quality tier, so the posted list is the whole build-up. Method background is in the Guidehouse Final MT Nursing Facility Rate Study Report (2022): https://dphhs.mt.gov/assets/ProviderRateStudy/Reports/FinalMT…

What they show

Rate file: per home, the total rate only. The flat rate and statewide average are in the footer, and the quality tier is implied as rate minus flat. The study report shows the statewide build (cost per day $241.77 trended 14.8% to $278.75, 60% occupancy, 95th-percentile indirect cap) but no facility-level tables.

Format

pdf

Example file

https://medicaidprovider.mt.gov/docs/feeschedules/2026/Medica…

Verified October 11, 2026

Recent changes

Verified October 11, 2026

Assisted living

Medicaid assisted living

Covered

yes

Program

Big Sky Waiver (BSW), a 1915(c) HCBS waiver for the elderly and physically disabled: 'Residential Habilitation' in assisted living facilities and adult foster homes. Also covered under the SDMI (severe and disabling mental illness) waiver. A new Category D 'Intensive Assisted Living' tier (SB 524) was proposed in a Dec 2025 BSW amendment with a 6/1/2026 effective date.

What is paid

Services only; the resident pays room and board. The State Supplemental Payments Program (state-only) pays part of room and board for SSI recipients in designated residential care facilities.

Rate

Daily rates (BSW fee schedule, proposed 7/1/2025; no SFY2027 increase): Level 1 ALF/adult foster home $128.49; Level 2 Behavior Management ALF $157.09; Level 3 Specialized (memory care) ALF $178.32; ALF respite $198.42. History: daily ALF rate $78.80 from 10/1/2019. Category D rate not found.

Limits

Enrollment-capped waiver with a waiting list: 354 people, average 91.5 days, as of Nov 2024 (LFD). BSW served 2,049 people at FYE2024. Must meet NF level of care and Medicaid financial eligibility.

Source

https://medicaidprovider.mt.gov/docs/feeschedules/2025/Propos…

Verified October 11, 2026

Sources

1. ARM 37.40.307 Nursing Facility Reimbursement (LII mirror, as amended eff. 9/21/2024) · regulation
2. ARM 37.40.311 Rate adjustment for county funded rural nursing facilities (IGT) · regulation
3. ARM 37.40.361 Direct care and ancillary workers' wage payments · regulation
4. ARM 37.40.330 Separately billable items (incl. per diem nursing increments) · regulation
5. ARM 37.40.338 Bed hold payments · regulation
6. MCA 15-60-102 Utilization fee for bed days in nursing facilities · statute
7. MCA 15-60-211 NF utilization fee state special revenue account · statute
8. MCA 15-60-101 Definitions (bed day) · statute
9. Nursing Facility Medicaid Rate, July 1, 2026 (SFY2027) · rate file
10. Nursing Facility Medicaid Rates, July 1, 2025 (SFY2026) · rate file
11. Nursing Facility Medicaid Rate, July 1, 2024 (SFY2025) · rate file
12. Final Nursing Facility Medicaid Rates effective 7/1/2023 (SFY2024) · rate file
13. Montana Healthcare Programs - Nursing Facility provider type page · agency page
14. Guidehouse, Final MT Nursing Facility Rate Study Report (2022) · agency page
15. Provider Notice: State Fiscal Year 2027 Provider Rate Update (5/29/2026) · agency page
16. Provider Notice: July 1, 2026 Fee Schedule Updates (6/30/2026) · agency page
17. Provider Notice: July 1, 2025 Fee Schedule Updates (HB 2) · agency page
18. Provider Notice: Complex Care Add-On Structure (eff. 1/1/2024) · agency page
19. Medicaid Nursing Facility Add-On Application (complex care levels, v.5 2/2024) · agency page
20. Nursing Facility and Swing Bed Services Manual · agency page
21. Public notice: Multiple Medicaid SPAs posted 6/30/2026 (Nursing Facility SPA SFY2027) · state plan
22. Public notice: Montana Medicaid SPAs effective July 1, 2024 (rate increases; NF reporting) · state plan
23. Public notice: Multiple SPAs effective July 1, 2023 (Guidehouse rate increases) · state plan
24. Public notice: NF and assisted living SPA effective 10/1/2019 (MT 19-0024) · state plan
25. LFD Budget Analysis 2027 Biennium, Section B (DPHHS, Senior & Long-Term Care) · agency page
26. Big Sky Waiver fee schedule, proposed July 1, 2025 · rate file
27. Public notice: Big Sky Waiver amendment (Category D Intensive Assisted Living), posted 12/23/2025 · agency page
28. DPHHS Big Sky Waiver program page · agency page
29. Personal needs allowance · secondary

Other states

Alabama · Alaska · Arizona · Arkansas · California · Colorado · Connecticut · Delaware · District of Columbia · Florida · Georgia · Hawaii · Idaho · Illinois · Indiana · Iowa · Kansas · Kentucky · Louisiana · Maine · Maryland · Massachusetts · Michigan · Minnesota · Mississippi · Missouri · Nebraska · Nevada · New Hampshire · New Jersey · New Mexico · New York · North Carolina · North Dakota · Ohio · Oklahoma · Oregon · Pennsylvania · Rhode Island · South Carolina · South Dakota · Tennessee · Texas · Utah · Vermont · Virginia · Washington · West Virginia · Wisconsin · Wyoming